Tanzania
Research Article
Syndemic Production of HIV Infection among Tanzanian MSM
Author(s): Adeniyi Adeboye, Michael W Ross, Michael J Wilkerson, Andrew Springer, Hycienth Ahaneku, Rafeek A Yusuf, Titilope O Olanipekun and Sheryl McCurdyAdeniyi Adeboye, Michael W Ross, Michael J Wilkerson, Andrew Springer, Hycienth Ahaneku, Rafeek A Yusuf, Titilope O Olanipekun and Sheryl McCurdy
Tanzanian men who have sex with men (MSM) experience HIV disparity and are disproportionately vulnerable to psychosocial health problems together called SAVID (Substance abuse, childhood and adolescent sexual Abuse [CSA], anti-gay Violence, Internalized homonegativity [IH], and Depression). We applied syndemic theory to assess additive effects of the SAVID problems on HIV seropositivity among 300 MSM from two Tanzanian cities, who provided demographic, psychosocial health–problem, and HIV-status information. Prevalence rates of the problems were substance abuse during condomless sexual intercourse (37.3%), a history of CSA (35.3%), anti-gay violence (22%), high IH (52.7%), and depression (58%). Bivariate analysis showed a significantly positive “dose-response” relationship between the SAVID-problem count and HIV seropositivity: SAVID problems significantly increased .. Read More»
DOI:
10.4172/2380-5439.1000231